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Time Card Submission

Client Information
Client Name
Report To
Address
City
State
Zip
Telephone Number
Fax Number
Employee Information
Employee Name *
Social Security Number *
Email Address *
(time card details will be copied to this email ID)
Time Card
Week Ending Date (Friday) Date Selector *

Time worked for one week only.  Start with Saturday and end on Friday at midnight. Enter time to nearest quarter hour (0 mins, 15 mins, 30 mins, 45 mins).

DAY DATE REGULAR
TIME		 OVERTIME
Time & One-Half		 OVERTIME
Double Time
SATURDAY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
TOTAL TIME   -> REGULAR
OVERTIME
DOUBLE TIME

I certify that the hours shown on this time card are correct.

Note: All * fields are required.